Individual
MRS. EVA RUTH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1704 E COMMERCIAL AVE, LOWELL, IN 46356-2111
(219) 696-6638
(219) 696-4169
Mailing address
1704 E COMMERCIAL AVE, LOWELL, IN 46356-2111
(219) 696-6638
(219) 696-4169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015195A
IN
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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